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It's Larry's (Larry David) birthday. Cheryl (Cheryl Hines) has mysterious plans that have yet to come to fruition. Jeff (Jeff Garlin) gets invited to the Playboy Mansion, but Larry doesn't think he can go because Cheryl's already mad at him about something else. Jeff has to explain the "double transgression theory." Larry visits the comatose Louis Lewis (Bill Saluga), hoping that he'll die so that Larry won't have to give Richard a kidney. At the hospital, he meets Wilson (Grant Rosenmeyer), a terminally ill kid who has a wish that the Make-A-Wish Foundation refuses to grant. He turns to Larry. Larry's cousin Andy (Richard Kind) pays a visit, and receives a treasured smoking jacket from Larry's ailing father, Nat (Shelley Berman), that Larry believes was meant for him. Andy invites himself along on the visit to the Playboy Mansion, where Larry discovers that he has something in common with Hef (Hugh Hefner). Larry runs into repeated problems with people bringing items that belong to him into the bathroom with them.